Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HB Ref Selenium (Q)
Prices here combine facility and professional fees. See them separately →Experimental
Low
$0
Average
$67
Median
$35
High
$972
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Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 365 hospitals; the 90th percentile is 6.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL | $9 | $9 | — | — | 49–490 | $9 – $9 |
| 2 | North Adams Regional Hospital North Adams, MA | $116 | $93 | $35 | 38% | 42–60 | $50 – $125 |
| 3 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $26 | $28 | $8 | 29% | 31 | $23 – $53 |
| 4 | Berkshire Medical Center Pittsfield, MA | $30 | $31 | $5 | 15% | 25–34 | $26 – $37 |
| 5 | St Peters Hospital Albany, NY | $83 | $80 | $7 | 8% | 21–93 | $64 – $83 |
| 6 | Northwestern Medicine Central DuPage Hospital Winfield, IL | $26 | $26 | — | — | 18–180 | $26 – $26 |
| 7 | Samaritan Hospital Troy, NY | $83 | $80 | $7 | 8% | 15–150 | $64 – $83 |
| 8 | Armstrong County Memorial Hospital Kittanning, PA | $61 | $77 | $48 | 62% | 14–23 | $31 – $169 |
| 9 | Oneida Health ONEIDA, NY | $26 | $40 | $38 | 95% | 12–120 | $12 – $155 |
| 10 | Guthrie Cortland Medical Center Cortland, NY | $124 | $91 | $52 | 57% | 8–80 | $26 – $139 |
Ask Claude or any MCP client for CPT 84255 pricing at a specific hospital — see how to connect.